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Updated: Aug 20, 2025

The use of Biofeedback in Clinical Virtual Reality: The INTREPID Project
Published on: November 12, 2009
Examining the potential of VR program Tilt Brush in reducing anxiety
Janice Tan1, Lee Kannis-Dymand1, Christian Jones2
1School of Health and Behavioural Sciences, University of the Sunshine Coast, Maroochydore, QLD Australia.
Virtual reality (VR) drawing offers therapeutic potential, inducing comparable flow states to traditional drawing. VR significantly reduced state anxiety, suggesting its value in clinical psychology applications.
Area of Science:
- Psychology
- Human-Computer Interaction
- Digital Health
Background:
- Virtual Reality (VR) technology is increasingly accessible and immersive.
- VR is underutilized in clinical psychology despite its potential.
- Freeform drawing is a therapeutic activity with potential benefits.
Purpose of the Study:
- To explore the therapeutic benefits of VR for clinical psychology.
- To compare the flow and anxiety-reducing effects of drawing in VR versus real life.
- To examine the correlation between presence and flow in VR drawing.
Main Methods:
- A randomized-controlled trial with 40 participants.
- Participants engaged in freeform drawing either on paper or in VR (Tilt Brush).
- Measured state-trait anxiety (State-Trait Anxiety Inventory), flow (Long Flow State Scale), and presence (iGroup Presence Questionnaire).
Main Results:
- No significant difference in overall flow levels between VR and real-life drawing groups.
- Flow levels positively correlated with presence experienced in the VR group (p < .01).
- Both groups showed decreased state anxiety; VR group showed a significant reduction (p < .01).
Conclusions:
- Drawing in VR can induce flow states comparable to traditional drawing.
- VR drawing demonstrates significant anxiety-reducing effects, particularly for state anxiety.
- VR holds promise as a therapeutic tool within clinical psychology.
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